Maricopa Community Colleges  CSR264   2008 Spring - 2008 Summer II

Official Course Description: MCCCD Approval: 12/11/07

CSR264  2008 Spring – 2008 Summer II

L+L

3 Credit(s)

4 Period(s)

Insurance Claims

Examination of policies and claims in the auto insurance industry. Covers management guidelines for existing claims, assigned risk policies, and claims procedures. New claim set- up and claim modifications emphasized.
Prerequisites: Permission of Department or Division.

 

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MCCCD Official Course Competencies:

 

 

CSR264  2008 Spring – 2008 Summer II

Insurance Claims

 

1.

Define various policy terms. (I)

2.

Review customer policies for various coverages. (I)

3.

Describe procedures for handling assigned risk policies. (II)

4.

Identify components of claims. (III)

5.

Describe the claim settlement process to customers. (IV)

6.

Explain the steps in a vehicle claim. (V)

7.

Explain injury only claims. (VI)

8.

Review comprehensive coverage and catastrophe claims. (I-VI)

9.

Describe background information and guidelines on existing claims. (VII)

10.

Use computer systems to search and access existing claims. (VII)

11.

Locate owners of claims in various computer systems. (VII)

12.

Perform claim management skills such as note taking, archiving, and restricting an account. (VII, VIII)

13.

Describe procedures for handling new claims. (VIII)

14.

Apply customer service skills when taking new and existing claim information. (I-VIII)

 

 

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MCCCD Official Course Outline:

 

 

CSR264  2008 Spring – 2008 Summer II

Insurance Claims

 

 

I. Insurance Policies

A. Definitions

B. Interpretation

C. Coverages

1. Liability

2. Medical Payment

3. Uninsured/Underinsured Motorist (UM)

4. Comprehensive/Collision

D. Determination

E. Coverage Investigation

II. Assigned Risk Policies

A. Overview

B. Identification

C. Procedures

III. Claims Components

A. Loss Assignment

B. File Ownership/Accountability

C. Management Responsibility

D. Physical Damage Handling

E. Customer Service

F. Injury Handling

G. Work Environment

IV. Claim Settlements

A. Overview

B. Disposition Procedures

C. Subrogation

V. Vehicle Claims

A. Overview

B. Damages

C. Parts

1. Original Equipment Manufacturer (OEM)

2. Used/Recycled

3. Non-OEM

4. Reconditioned

5. Non-Body Parts

6. Body Parts

D. Estimation

1. Severity of Damage

2. Damage Location

3. Safety Items

4. Types of Materials

5. Cost

E. Total Loss

F. Settlement

VI. Injury Only Claims

A. Types

1. Pedestrian

2. Cyclist

3. Passenger

4. Insured

5. Insured's Child

B. Coverages

1. Personal Injury Protection

2. Medical Payments

C. Recording Procedures

VII. Existing Claims

A. Guidelines

B. Owners

C. Management

D. System Navigation

E. Data Recording

VIII. New Claims

A. Guidelines

B. Owners

C. Management

D. System Navigation

E. Data Recording

 

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